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NRCME Test Questions with Complete Solutions
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NRCME Test Questions with Complete Solutions Diabetic Exemption - Answer-If the driver is an insulin dependent diabetic, they may apply for a waiver from the FMCSA, exemption program To apply, the driver will need contact info to obtain info on the exemption program, a copy of the Medical Certifi...

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  • August 25, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
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NRCME Test Questions with Complete
Solutions
Diabetic Exemption - Answer-If the driver is an insulin dependent diabetic, they may
apply for a waiver from the FMCSA, exemption program
To apply, the driver will need contact info to obtain info on the exemption program, a
copy of the Medical Certification Card and Medical Examination (Long) Form both
marked "accompanied by an insulin waiver/exemption"

Vision Exemption - Answer-If the driver does not meet the minimum vision
requirements, they may apply for a vision exemption.
Must provide a card and long form marked accompanied by a vision waiver/exemption

Neurologic Waiver - Answer-For minor MS and malignant tumors (marked on the
medical certification card and exam form "accompanied by a neurologic
waiver/exemption"

SPE - Answer-Required for loss of limb or limb impairment with a fixed deficit
The first, second, and third digits are most important for prehensal ability and grip
strength, with the fourth and fifth being less important
When the driver is missing only a part of their hand, determine if the driver's grip
strength and prehensal ability is adequate enough to drive
If SPE is needed, provide a card and form and "accompanied by an SPE"
SPE is good for 2 years as long as there are no other conditions or tx that would affect
this

Diabetes Insulin Dependent without an exemption or waiver - Answer-Disqualify

Epilepsy - Answer-Disqualify

Schizophrenia - Answer-Disqualify

Flat or blunt affect - Answer-Disqualify

Active Psychosis - Answer-Disqualify

Active drug or alcohol abuse - Answer-Disqualify

Monocular Driver - Answer-Disqualify without a waiver or exemption

Stage 3 BP - Answer-Disqualify until it is below 140/90

, If the driver is provided with a 1 time 3 month certificate, and the 3 months expires prior
to them lowering their blood pressure to 140/90, they should undergo a new exam

Pulse Rates - Answer-Disqualify when below 60 and above 100

ICD: Implantable Cardioverter Defibrillator - Answer-Disqaulify

Grade 3 or above Murmur - Answer-Disqualify

Left ventricular hypertrophy, if does not meet minimum required testing requirements, or
is symptomatic - Answer-Disqualify

Cor pulmonale - Answer-Disqualify

AAA or thoracic aneurysm that exceeds 5 cm (3.5 cm for thoracic aneurysm or there is
a greater than .5 cm increase in size over a 6 month time frame - Answer-Disqualify

Intermittent claudication - Answer-Disqualify if pain at rest

Respiratory conditions to DQ - Answer-TB during active tx
Chronic TB tx with Streptomucin
COPD with cough syncope
2 or more spontaneous pneumothorax on the same side
Bronchiectasis with hemoptysis
Narcolepsy

Abdomina, GU to DQ - Answer-Renal Failure
End Stage kidney disease
Hernias - non reducible and symptomatic (pain on exertion)
Hematologic, GI, GU disorders based on severity, episodic nature and side effects of tx
Neoplastic disease

Orthopedic Conditions to DQ - Answer-Loss or impairment of limb (fixed deficit), without
SPE
Any current limitation or disability that may impact the safe operation of a CMV
Cervical Rotation must be examined to determine if the driver has enough rotation to
see their mirrors and to change lanes
They should exhibit 45 degrees to the left and 30 degrees to the right, but this is not
defined by regulation

Neurologic Conditions to DQ - Answer-Legally incompetent
Major psychiatric disorder
Aphasia, Alexia
Dementia
Cranial Neuralgia
Diplopia, and Oscillopsia

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